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HomeMy WebLinkAbout2924 ! ~ , ~51~q . • - 5 , . _ . . ~ - . ~ - v.- - - • ' - , i CERTIFlCA?EOF DEA7H t i IkpN.e.~ d t k.l~l ..d R.d~.l~b~.u.e 5.~..ke. F L O R I D A srwTt r~~t r.:~.. : ; ~wv~.~o.v ~w ~a:uni 115 ~ ~r~t. or rnNt ~N A[61iT11ARK ~.o. ' • ~ /t~MANINT INK ~~a_K~ ~w~ w~u SE~ OwT! O/ OEwM ~ row~., nu ~ ~ ~ uc ~u~ocooc ia , SA~SiJrL bfHRSHALL DL•.~iPST~R M.ale ~ Februar 23 1973 • ~AC~ M+4. r~~q. rM~KU~ rN~~. AGE-••~t ?~.a~ ~~r.• 'YWI~ 1 N~ OwtE OI MITM ~ro.r. Mr: COYNiY W OEwTM ' ~ ~x. ~ MKrr ~ wW.• n~.~U +J~. w~ .O~~s .w n•• ~ , White ~5 ~ ik . Jan.9,1898 Saint Lucie , 66~2 ~T~-W l T ~ N r.w~ car ~rm MOSMtwI Ot Oh~Ut Ni Y - ~r .a iwr~, ow~ ~rru .w ww~ ~ ' v~un n~ w ue • „ Fc~rt Pierce Yes Fort Pierce t?temorial Hospital ~ ! ~ i1wTE Of MtM ~r uo~ w v.~... ww~ T~iW Of wewT COtM+riY wWt~EO. wt~Ee rWSEO. 511~1IW i1011St ~r.w. ~M~ YWM M~{1 ooM... ~ wnoweo. onti~uo ~ we.. ~ ~•~•~+wK~ Ohio ~ USA Narriod Lilian Jarvis rrr «n.x~ iOCW Sl~tWtr 1~MMYEI uSU~u GtCWwTiOQ+ ~a.r ar~ a w~. ow w.~.c .w~ a I~KO O/ WfYlii Ot u~OYSll11 ' NN~. M N~~ v0~++0 ~~M. wlw u~~mN 1 Buf lding „ 210-05-5290-A u.. Contractor ~s. t[ilOEnCE-if~tE COUNri Gin. tOww. Ol LOCwT:G+ t+s .~~n 3TUIi ~w~- ~ 1MKYt q~ M MO . ~ ~M Florida ~a 5t. Lucie ~~u Fort Pierce ro ~~..309 West Arbor Avonue /AiMF~~7iAw! r~Yt .~ow~ uu MOinEl-~w?AEN NM~E ~rN rM~ . W~ . , Y „ J~mes DQ~? ster J~net Atarshall INMtM~Ni~lu~rt ' ~M4wG /~Oi.~E55 ~Nan W~.~.~. w0.. t++ a q~. N~4, ir1 Liliari J. DQm stcr ~~309 W. Arbor Ave. Ft. Pierce F1 33450 ~11 ~~YH M~ •/y ~ , Iwlt OtwTN WAS C~YSED ~Y~ llrtttt Ow? OM UuSE K~ lwE !Q~ (~L AL u0 k?1 unr~~• o.u~ ~t.~w . N ~.rw u ~ . /1 ~ ' N! •l~~"'?~. . , . t . i tewMi~orh ..n. . , . .w~tM O.~t n~~ w 1?1 ~ 1rWM~1~ t~VN ~M. M q. W~1 ~ CWMWI+C~ W. ~ ~ ~ ~t~t.w~ Ir~ ~M~~~ . , ~nw~ t~YM \~N - . ~t1 ; fA~T M. OTNt~ SIGNMK~WT CW+WTIOtii~ twawo..a tanww«o a a.w. w~ w~ uw~~ a c•ru o~+a. r.~r ~ r~ wYfO?S~ V 11tS •••~•~a~ ta+~ • ~ I~wf M~ ~ M~~uww Nt~~ru+w0 Wf~ ~ IA. ib ! ihM.~1r1 ~~~W_ ~T-f~~~D! ~~~W/Nf~..O++w. r~•~ ~ '10W INW~T OCCUI~f~ ~~w'[~ whrY ~~wn w~ ru~ ~ q ru~ w, a~. 1 i . r~US~r~.C~+Ot. q YNOti[WwIO . ~ . Ey !0~ }M t1~ M 7c~ 6 ~NlUR1 Ai ~NWR hACE O~ Nl1At.t no.t. s~~l~~, ~K~wr. IOCAiiON ~ f~H~~ W~.r.~. w0.. tM~ O~ rorM. N~N ~ ~ . ~ I1?Wn n~ M MOI Or~K/ W..~K. IVK+~1 ~ ~ ~ ~ ~ n1 i ~ ~(~11/ICA110N~ ~O~N~ Mt A~~ ~OwM N~ f(Y YO uft M~ ~r/M~ NM Or ~ M/MtrO~ nl~l M OlAfw OCCY~~lO ~t r~ ~~CI. W M . IN7fK1~N: rOwtw M~ qY ~0~~ Y11~ M~R ~U01r~1 V Hry. ~w0, q W N!} ~ .m.~~ ~ T~ -l 3 - 7 3 u .w.ux~. ~w Zt~ Ntuu~ ~w. ~ ~ ~ S :tt? ~ 7~ 1ttr ~ _ 7q fh • . t0 rM 4ru~a~ tane. tttt~i~CwT~01+-rtDKw? ti~wi+ER~-WIO+.E~, e-~ *.~e ~.a.~ w~w w.~ a w.~+ ~ lw~ NC~MM w1~1 MOrOYwG~ N~~ • ~~~r~~Mw M FW q~~ ~M/p M wq~ro.rw... iw r• wr.w.. .O~~r Nr qN .oy~ ;~~„IM OC[WM~ M~M Mp ~M M q W 4YM~f~ 1t~p• M. 7„ i M. C~~1Y~f~-NAM[ ~FN W Iw+n ~ T~•' W~ W nM~D ~••,•fw, N~.~W~ tH /.iA D.Q.e. ~ _ ~rn 1-.Z3 - 7 rwukG .DOaESS-I ~.tY . • o. ....a. u - ~•n 3 l~~S )71 N . ~T. ~ ~ • MA:~t. CiLrMTiO~+. RtrOV~? . tE~r Ot Ct[~+wi0ar_H~wE ~~OCwiWn u~ a aw~ w~~ ~ ~ wan r ' Surial ,.t-:illcres ~ D:em. Garden$,., Fort Pierce, FloriBa ~ r a~• SA~E ~ M~ WN(Ua!~WwE-.+i~wl ~N~ SS ~?u~n o• wo.. tm w~o.~, N~u. tu ~ ~ Feb. '1~1; 1~~3 ,~Yates : unera~:-lo~e Bo 777 Ft. Pierce F1 33450 . v. S. ~612 rwtuu or oa- ~[c.~st -srGiv~rurt , .iumo n wc.. aawrw Mv.1970 !u . /~~w C:o ~ i ~q,,~ 0~y10 RECOROL~ ~ ~ ST.LUCIE CDIIMTY f1.A. ROCER r01TRA5 ~ I heroby arMfy this to b~ a trw ~nd oorr+set oopy of fh~ toai CLEA[ CIhCUtt COUitT ~ - : Repimd's roooKl on fll~ in th~ St. t~ud~ County Heshh O~ps~ECORd YE~tt~lEO~..~..+ ,,,,,.~;,~fi; ,ry~ ti_ ~ ~ m.m ~t F«+ w~no.. Flo~+da. t ~ 9 ~ q , ~ t i~' t . (Wamin~: Not Va{id unlsss r~ised ,esl of ths L11d~ ~ 1 8 s ' `3 , ~ ~1~ s . ~ • . % Coun1Y He~ehh DeP+~tme~M Is afHxod,~ .i~' ••y~~:'' ;f: _ 251995 ; , a ~uua~, ~ a ~ ~ . . ? h{ j h ~ . T _ H..i~ oErior a : ~ : , , ` - > ` ~ ~ 'f.'.•~ ~ ' ; . 7 - / ~ l(.+~t . ~/1~j ~e • ~ • ~ n • ~/f!~r.. ~ ~ pOp1Ay {,,ppv ~ylr~ , ~J' Y~r~ ~y.,• r~.l.'`~:. • . • ,7 ~ i~~ , - ~ ~~~~,;~%a~,~,.. 6001( ~~Z PR~E ~~~~~t~ ~ _ ' - ~ ~ _ _